Linking Inner Context and Innovation Factors: Examining a pharmacy-based intervention through the eyes of pharmacy staff.

Autor:	Watterson TL; Pharmacy Systems Outcomes and Policy, College of Pharmacy, University of Illinois Chicago, USA., Moon J; Department of Industrial and Systems Engineering, University of Iowa, USA., Stone JA; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.; Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin-Madison, USA., Gilson AM; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.; Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin-Madison, USA., Berbakov ME; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.; Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin-Madison, USA., Hoffins EL; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA., Chladek JS; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA., Lehnbom EC; Social Pharmacy Group, Department of Pharmacy, Faculty of Pharmacy, Uppsala University, Uppsala, Sweden., Resendiz SM; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA., Mai S; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA., Walker KD; Aurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USA., Gollhardt JD; Aurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USA., Chui MA; Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.; Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin-Madison, USA.
Jazyk:	angličtina
Zdroj:	Exploratory research in clinical and social pharmacy [Explor Res Clin Soc Pharm] 2024 Aug 05; Vol. 15, pp. 100486. Date of Electronic Publication: 2024 Aug 05 (Print Publication: 2024).
DOI:	10.1016/j.rcsop.2024.100486
Abstrakt:	Introduction: Community pharmacies, as unique and accessible healthcare venues, are ideal locations to implement interventions aiming to improve patient care. However, these interventions may increase workload or disrupt workflow for community pharmacists, technicians, and other staff members, threatening long-term sustainment. There are growing calls from the field of implementation science to design for intervention sustainment and maintenance by maximizing innovation fit. Senior Safe™, an intervention to facilitate safer over-the-counter (OTC) product selection by older adults, serves as a case study to examine the congruence between Innovation Factors and community pharmacy Inner Context constructs and their implications for workload and sustainment. Methods: Using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, this qualitative study identified factors surrounding Senior Safe implementation. Semi-structured interviews were conducted with staff from pharmacies where Senior Safe was implemented. Two coders independently analyzed interview transcripts using deductive analysis based on EPIS constructs. Thematic analysis was used to generate three themes that encapsulated innovation fit. Results: Nineteen pharmacy staff members participated, with the majority reporting no significant change in their workload or workflow due to Senior Safe. Interview feedback supported a pre-existing culture of the healthcare system to engage patients, of leadership commitment to patient safety initiatives, and of an amplified role of pharmacy technicians. Discussion and Conclusion: Pharmacy staff interviews revealed congruence between Innovation Factors and Inner Context that likely yielded intervention workload neutrality. This study highlighted the importance for researchers to consider maintenance and sustainability when designing and implementing an intervention and the critical influence of culture and leadership support during this process. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
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